Jeremy Lane Jr., P.A.-C.
NPI 1144205220ActiveIndividual· Physician Assistant, Surgical· St Louis Park, MN
Physician Assistant, Surgical (P.A.-C.) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Mostly services rather than prescriptions: Medicare paid $60,192 for 318 patients in 2024, with only 29 Part D claims. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1144205220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C. |
| Sole proprietor | No |
| NPI issued | Dec 12, 2005 |
| Last updated in NPPES | Mar 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 9937 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 318 |
|---|---|
| Services billed | 5,591 across 20 procedure codes |
| Paid by Medicare | $60,192 |
Part D prescriptions in 2024
| Prescriptions (claims) | 29 · 31 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $164.46 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Surgical providers in St Louis Park
- 1972037059
- 1780979104
- 1730166729
- 1386184844
- 1578979654
- 1023168432
- 1073006672
- 1982680690